8:30 – 10:00 am

Opening Plenary 

Speaker: Rick Gilfillan
Hear from Dr. Rick Gilfillan, who shaped Medicare ACOs as CMMI’s first leader and oversaw a variety of successful value-based programs as CEO of Trinity Health. Dr. Gilfillan has a unique perspective on the future opportunities in value-based care and how ACOs and other models can transform care delivery to succeed in this new paradigm. Our opening plenary will feature Dr. Gilfillan followed by a panel of discussants sharing their insight into what’s next for value-based care and your health care organization.

10:30 am – 12:00 pm

Optimizing the Impact of Drug Spending
Chair: Mark Angelo, Delaware Valley ACO 
Panelists: Laura Balsimini, Summit Medical Group; Stephen Nuckolls, Coastal Carolina Quality Care; Ruchi Tiwari, Mount Sinai Health System

This panel will provide an understanding of the opportunities and challenges in managing drug spending within value-based care settings. Panelists will also present case studies demonstrating strategies that have succeeded in their ACOs.

10:30 am – 12:00 pm

Critical Policy Update for ACOs
Chair/Panelists: Allison Brennan and Jennifer Gasperini, NAACOS

This session will review key regulatory issues for ACOs including Pathways to Success policies that have recently taken effect, new Quality Payment Program requirements for 2020, and other recent policy developments ACOs should be aware of.

10:30 am – 12:00 pm

Care in the Home: Health Care's Next Frontier
Chair: Rob Mechanic, Institute for Accountable Care
Panelists: Amina Ahmed, Summit Medical Group NJ; Bruce Leff, Johns Hopkins University School of Medicine; Dianne Schultz, UnityPoint Health

More than half of potentially preventable Medicare spending is incurred by frail elderly patients who frequently have difficulty accessing timely ambulatory care. For such patients, home-based care can reduce hospitalizations caused by exacerbations of chronic conditions, improve quality, increase patient and caregiver satisfaction, and identify and address social determinants of health. This session will examine a range of models adopted by ACOs including their design, impact on health spending, success factors and implementation challenges.

10:30 am – 12:00 pm

Managing Risk Across a Population that Includes Other Risk-based Models
Chair: Anthony Reed, Ascension
Panelists: Richard Martin, Keystone ACO; Sidney Raymond, Oschner Health; Nick Bassett, Intermountain Health

In today’s competitive healthcare environment an organization that has the scale to build infrastructure and spread the cost over a wide patient base can generate significant returns on investment. This session explores what industry leaders in value-based care are doing to provide seamless care to their patients across multiple risk models and contracts.

12:00 – 1:30 pm

Lunch

Lunch Plenary

Speaker: Dr. Marty Makary 

New York Times bestselling author and Johns Hopkins surgeon, Marty Makary, offers an eye-opening, timely, urgent critique of America's broken healthcare system and the change agents working to fix it in his book The Price We Pay.  Following his presentation, Dr. Makary will hold a book signing and attendees will receive a copy of the book, which provides a roadmap for everyday Americans as well as business leaders to get a better deal on their healthcare and looks at the disruptors who are innovating medical care. 

1:30 – 2:00 pm

Break

2:00 – 3:30 pm

A Foot in Two Canoes - Succeeding in both Fee-For-Service and Value-Based Care
Chair: Rick Foerster, Privia Health
Panelists: Jamie Reedy, Summit Medical Group NJ; Ben Sparks, UnityPoint Health; Sam Starbuck, Privia Health

While the healthcare industry is moving towards value-based care, fee-for-service remains a reality for nearly everyone. How do ACOs balance managing that reality? Panelists will discuss the reality of juggling FFS and VBC contracts and how they’ve achieved success.

2:00 – 3:30 pm

Opportunities and Challenges of New CMS Innovation Center Models
Chair: David Pittman, NAACOS
Panelist: Pauline Lapin, CMS

A number of new value-based payment models from the CMS Innovation Center will launch in 2021, and this session will discuss what ACOs need to know about Direct Contracting, Primary Care First, and other forthcoming programs. Panelists will review key details of new models, what ACOs interested in participating need to know, and how these programs overlap with today’s ACOs. The audience will hear from other ACO leaders applying for the models, and there will be ample time for discussion about the opportunities and challenges presented by participating. 

2:00 – 3:30 pm

Care Management: Structure and Process to Drive Success in Value-Based Care
Chair: Rob Fields, Mount Sinai Health System
Panelist: Nancy Adler, Maria Basso Lipani, and Kristin Muzina, Mount Sinai Health Partners

Care management is a critical element in value-based care but how ACOs execute on their care management strategy varies greatly as do the outcomes for the patients that are served. In this session, the panel will discuss different models of care management as well as particular types of infrastructure and processes that are designed to improve quality and reduce cost. Topics will include social determinants, use of technology including remote monitoring, and the use of data and analytics to drive your care management strategy.

2:00 – 3:30 pm

Understanding Data Analytic Platforms and Services
Chair: Travis Broome, Aledade

No one in health care has access to a greater variety of data than an ACO. The ways ACOs process and use that data are just as varied. Hear from three ACOs who have taken different approaches. (1) Build: Hire your own developers and build your own, (2) General contractor approach: Hire several vendors for specific things and pull it together yourself, or (3) Partner approach: Hire an end to end solution vendor.

8:30 – 9:30 am

Plenary 

Navigating the Opportunities for ACOs to Expand into Other Risk-based Models
Keynote: Sean Cavanaugh, Aledade
Speaker: JP Sharp, Blue Cross of NC

As leaders in risk-based health care, ACOs are well-positioned to expand into additional risk-based models. A panel with diverse expertise will discuss the landscape of risk-based models, such as Medicare Advantage, Medicaid, employers, and commercial plans, and provide insight into how ACOs can maximize these opportunities

9:30 – 10:00 am

Break

10:00 – 10:45 am

10:45 – 11:30 am 

Best Practices – ESRD 
Chair: Emily Brower, Trinity Health 
Speakers: Robert Gaynor, St. Luke's Medicare ACO; Mallika Mendu, Partners HealthCare 

For the Spring 2020 Conference, NAACOS invited ACOs to submit best practices in three areas: social determinants of health, behavioral health, and end-stage renal disease.  For the purpose of this solicitation, NAACOS defined a best practice as a process or set of procedures with demonstrated effectiveness in achieving a goal.  This session features the best practices for ESRD that were selected for presentation by the review committee.  The presenters will discuss their process and outcome, as well as implementation challenges and lessons learned. There will be ample time for Q&A following the presentations. 

Best Practice – SDOH 
Chair: Jen Moore, MaineHealth ACO
Speakers: Tori Bratcher, IU Health ACO; John Luterbach, Trinity Health ACO

For the Spring 2020 Conference, NAACOS invited ACOs to submit best practices in three areas: social determinants of health, behavioral health, and end-stage renal disease.  For the purpose of this solicitation, NAACOS defined a best practice as a process or set of procedures with demonstrated effectiveness in achieving a goal.  This session features the best practices for SDOH that were selected for presentation by the review committee.  The presenters will discuss their process and outcome, as well as implementation challenges and lessons learned. There will be ample time for Q&A following the presentations. 

10:00 – 11:30 am

Best Practice – Behavioral Health
Chair: Kim Kauffman
Speakers: Heather Esber, OhioHealth Venture, LLC; John Illingworth, St. Luke's Medicare ACO; Suzanne Kieltyka, Summit Medical Group TN

For the Spring 2020 Conference, NAACOS invited ACOs to submit best practices in three areas: social determinants of health, behavioral health, and end-stage renal disease.  For the purpose of this solicitation, NAACOS defined a best practice as a process or set of procedures with demonstrated effectiveness in achieving a goal.  This session features the best practices for behavioral health that were selected for presentation by the review committee.  The presenters will discuss their process and outcome, as well as implementation challenges and lessons learned. There will be ample time for Q&A following the presentations. 

10:00 – 11:30 am

Challenges and Succeeding in a Rural ACO
Chair: Patt Richesin, Kootenai Care Network

11:30 – 11:45 am

Break

11:45 am – 1:15 pm

ACO Waivers: Considerations, Planning, Implementation, and Management
Chair: Melody Danko-Holsomback, Geisinger/Keystone ACO
Panelists: Chris Butters, UnityPoint Health; Sharon Kimball, UNC; Cindy Yeager, Keystone ACO

This session will cover potential ROI for ACOs who implement the available waivers including SNF, Telehealth, other. Information on creating a comprehensive implementation plan including technology and staffing needs and application document requirements. Tips for hiring staff to carry out the waiver required processes and educating both staff and providers. Lastly, program management post-implementation with continued quality, ROI data or reporting needs.

11:45 am – 1:15 pm

Successful Strategies for Physician Engagement and Motivation
Chair: Elissa Langley, Triad Healthcare Network
Speakers: Jami Berger, Arizona Care Network; Victoria Farias, Rio Grande Valley Health Alliance, LLC

Learn innovative and unique strategies from experienced ACO panelists for creating direct “lines of sight” for improved quality performance and maximized physician incentive payments.

11:45 am – 1:15 pm

The Future of Population Health Management — Data Sharing Is the Change Agent
Chair: Melanie Matthews, Physicians of Southwest Washington and MultiCare Connected Care
Panelists: Amy Gleason and Anna-Noelle Routh, CMS, Anna Taylor and Ann Goldman, MultiCare Health System; Jen Perloff, Institute for Accountable Care

Focus on new CMS initiatives to provide data to patients, clinicians and ACOs to improve lead time, formatting structure and ease for data retrieval for action. Get the insight on current and expected data releases and how big technologies are providing easy to use apps for various audiences in the healthcare continuum. Discuss perspectives on how ACOs need to be engaged with CMS directly in this process versus relying on EHR or population health platforms vendors.

1:30 – 3:00 pm

Lunch 

CMS Townhall
Speakers: John Pilotte and Amy Bassano, CMS

This session includes a town hall format and is an important way for ACOs and CMS to have an open dialogue about the Medicare ACO program, including discussion on evolving policies and how ACOs fit into CMS’s overall goal of improving Medicare payment and healthcare delivery. This is an excellent opportunity for ACO executives to pose questions and receive answers directly from CMS leaders and to hear the newest developments straight from the agency.